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目的了解和掌握四川省克山病项目执行过程中质量控制出现和发现的问题,探索克山病项目质量控制措施与方法。方法审核清理四川省2009～2011年克山病项目工作原始调查体检表,表格、数据库;制定《四川省2010年克山病项目完成情况调查表》进行问卷调查。结果按“领导重视度、培训情况、表格数据缺失度、逻辑错误发生率、ECG分析错误率、克山病诊断困难程度、数据准确性、结果代表性”等进行分类统计,总结分析克山病质控的措施办法。结果部门领导对克山病项目工作比较重视(重视度100%);项目技术方案的制定基本合理,培训基本到位;项目工作使用的仪器使用前都经过检验较准并在有效期内;现场调查前的准备工作比较充分;病例搜索范围的完成率不高;完成项目工作成员的职称结构偏低;克山病诊断困难率高;心电分析的误诊率偏高,有漏诊现象;数据缺失严重、易发生逻辑错误;一致性差等问题。结论领导重视,组织协调有力;方案细致具体,培训全面到位;准确选点,准确诊断;严格项目资料的调查搜集;审核清理规范管理项目档案资料,相关部门积极参与紧密配合;承担项目工作人员技术过硬,责任心强;层层把关,步步控制应该是克山病项目质量控制行之有效的措施。
Objective To understand and grasp the problems of quality control during the implementation of Keshan disease in Sichuan Province and explore the quality control measures and methods of Keshan disease. Methods Examination and clearance of the original investigation form, form and database of Keshan disease in Sichuan Province from 2009 to 2011 were conducted. A questionnaire was made to investigate the completion of Keshan disease in Sichuan Province in 2010. The results were classified and analyzed according to “the importance of leadership, training, the absence of tabular data, the incidence of logical errors, the error rate of ECG analysis, the difficulty of diagnosis of Keshan disease, the accuracy of data and the representativeness of results” Measures for quality control of mountain diseases. Results The departmental leaders paid more attention to the work of Keshan Disease (emphasis degree was 100%); the formulation of the technical scheme of the project was basically reasonable and the training was in place; the instruments used in the project work were both tested and validated before use; The preparation of the case is relatively full; the completion rate of the case search range is not high; the title structure of the project members who complete the project is low; the difficulty of diagnosis of Keshan disease is high; the misdiagnosis rate of ECG is high and there is a missed diagnosis; Logic error prone; inconsistency and other issues. Conclusion The leaders attach great importance to the organization and coordination; detailed and detailed programs, training in place; accurate selection of points, accurate diagnosis; strict investigation and collection of project data; audit clean up and standardize the management of project files, the relevant departments to actively cooperate closely; undertake project staff technology Strong, strong sense of responsibility; Cengcengbaguan, step by step control should be Keshan disease project quality control effective measures.